Gerald J Willden, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

59779471205 Issued in UT

Practice address

65 E 100 N
Gunnison, UT 84634-0000

Phone

(435) 528-2130

Fax

(435) 528-7796

NPI assigned

Jan 18, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Gunnison Valley Hospital

  dba Gunnison Valley Hospital Hospice

  • Community Based Hospice Care Agency
  • Gunnison, UT
  • NPI 1013078922

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Gunnison Valley Hospital

  dba Gunnison Valley Hospital Home Health Agency

  • Home Health Agency
  • Gunnison, UT
  • NPI 1437210572

  Corporate Director, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gunnison Valley Hospital

  dba Mid-Utah Family Medicine

  • Rural Health Clinic/Center
  • Gunnison, UT
  • NPI 1255924486

  Family Medicine

  Medicare reassignment NPD
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, UT
  • NPI 1952463036
  Medicare reassignment
• Gunnison Valley Hospital

  dba Salina Family Medicine

  • Rural Health Clinic/Center
  • Salina, UT
  • NPI 1982001681

  Family Medicine

  NPD
• Gunnison Valley Hospital

  dba Gunnison Family Medicine

  • Family Medicine Physician
  • Gunnison, UT
  • NPI 1780877027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1043362049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846340600",
            "telephone_number": "435-528-2130",
            "fax_number": "435-528-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E 100 N",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846340000",
            "telephone_number": "435-528-2130",
            "fax_number": "435-528-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLDEN",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "59779471205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrissa L Thomas, FNP
• Brian Thompson
• Amie Sue Tucker
• Willard Ray Tucker, RPH
• Amy Vanderherp, PA-C

• Family Medicine Physician in Gunnison, UT
• Providers in Gunnison, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.